Children’s mental health services ‘creaking at the seams’

  • The NHS in Scotland failed to meet a maximum 18-week waiting time target for children and young people to receive treatment from mental health services
  • More than a third are waiting more than 18 weeks for treatment.
  • 11 out of 14 health boards, including NHS Lothian, failed to meet the 18-week waiting time target.
  • 272 children and young people waited more than a year prior to being seen
  • Coalition calls for fundamental rethink and renewed focus on prevention and early intervention, including embedding mental health within education.

Latest waiting time figures have reinforced the call by a coalition of leading independent and third sector children and young people’s service providers for dramatically increased investment in mental health services in the budget to address the current mental health crisis.

It has also called for an urgent need for transformational change in services, focusing on prevention and early intervention in order to tackle what is one of the greatest public health challenges of our time.

The call from the Scottish Children’s Services Coalition (SCSC), which campaigns to improve services for vulnerable children and young people, comes as the latest waiting time figures from the Information Services Division, part of NHS National Services Scotland, highlight that thousands of children and young people are failing to treated within a Scottish Government waiting time target.  

With an increasing number of children and young people being identified with mental health problems they also highlight a postcode lottery for mental health treatment across the country.

Covering the quarter October to December 2019, the figures highlight that 3,884 children and young people started treatment at specialist child and adolescent mental health services (CAMHS) in this period.

The NHS in Scotland, including 11 of the 14 regional health boards, failed to meet the Scottish Government 18-week waiting time target for children and young people to receive treatment from CAMHS. This target should be delivered for at least 90 per cent of patients.

While 66.4 per cent in the NHS in Scotland are being seen within this 18-week waiting time, still in itself far too long, more than a third (33.6 per cent) are failing to be seen within this period.

Individual health boards failing to meet this target are: NHS Fife (66.1 per cent), NHS Ayrshire & Arran (89.9 per cent), NHS Grampian (80.1 per cent), NHS Greater Glasgow & Clyde (68.9 per cent), NHS Highland (75.2 per cent), NHS Lanarkshire (57.8 per cent), NHS Lothian (48.4 per cent), NHS Tayside (57.4 per cent), NHS Dumfries & Galloway (88.6 per cent), NHS Shetland and NHS Forth Valley (57.7 per cent).

The figures also indicate that 272 children and young people in the October to December quarter had been waiting for more than a year prior to being seen for treatment, an increase from 204 in the previous quarter and a considerable increase from the  same quarter of last year (108).

Mental health services are creaking at the seams due to greatly increasing demand, as evidenced by these waiting time figures. Research indicates that 10 per cent of children and young people (aged five to 16) has a clinically diagnosable mental health problem (around three in every classroom), with 50 per cent of mental health problems established by the age of 14 and 75 per cent by the age of 24.

While acknowledging the great efforts the Scottish Government is making, such as an additional £250 million of funding announced in the Programme for Government of 2018, the SCSC has called for the Scottish Government to greatly increased investment in CAMHS and for a more consistent approach to delivering these services across Scotland. 3

It has also called for a renewed focus on prevention and early intervention for those with mental health problem, reducing the need for referral to under-pressure specialist CAMHS.

This includes embedding mental health within education from an early age in order to strengthen knowledge and awareness of mental health, as well as reducing the stigma associated with mental health.

SCSC says emotion and resilience classes should be provided to all students from primary one to teach students how to work through their emotions in a healthy way and there should be a whole-school approach, with training for all staff involved in education and providing counselling support.

A spokesperson for the SCSC said: “These latest waiting time figures highlight that we desperately need increased investment in the forthcoming budget to address this situation. The simple fact is that we are continuing to fail thousands of children and young people with mental health problems, and more clearly needs to be done to address this epidemic.

“These newly released figures highlight that the NHS in Scotland, including eleven of our health boards, are failing to meet what is already a lengthy waiting time. Yet we know that three children in every classroom has a clinically diagnosable mental health problem.

“There must be a radical transformation of our mental health services, with a focus on preventing such problems arising in the first place and intervening early, especially when we know that half of all mental health problems begin before the age of 14.  This includes embedding mental health within education from an early age as well as providing training for all staff involved in education.

“With mental health and the issues associated with it representing one of the greatest public health challenges of our time, we must ensure that children and young people are able to get the care and support they need, when they need it. This includes investing in greater community support and support at school, reducing the need for referral to specialist CAMHS.”

One in three young people in the Lothians are waiting over a year for mental health support.

Miles Briggs, Scottish Conservative Lothian MSP, said: “It is deeply concerning that we are now in a situation where over a third of young people referred for mental health support in NHS Lothian are having to wait over a year.

“SNP Ministers have allowed us to reach crisis point by not properly managing NHS Lothian’s workforce and must take responsibility for neglecting to take action over the mental health crisis amongst young people.

“These figures show just how urgently we need an additional 40 whole time equivalent mental health professionals in NHS Lothian.”

Five suicidal children A DAY helped by Childline in Scotland

  • NSPCC launches Kids In Real Life (#KIDS_IRL) to save young lives, in real life
  • Hard-hitting campaign backed by Childline founder Esther Rantzen

The NSPCC has revealed that on average five children a day in Scotland are receiving help from its Childline service as they struggle with suicidal thoughts and feelings.

In 2018/19 Childline delivered 1,781 counselling sessions to young people in Scotland, who were plagued by a sense of despair – a 90% increase from three years ago.

The total number of counselling sessions in the UK for this concern was 24,447 in 2018/19 – with most of those reaching out being teenagers, but there has also been a sharp rise in under 11s receiving help (87% since 2015/16).

Young people contacting Childline with suicidal thoughts and feelings cited specific concerns about mental health, self-harm, family relationships and problems at school and college. Girls were more likely to talk about these feelings, with five times as many receiving counselling sessions than boys.

In response, the NSPCC is today launching a nationwide campaign – KIDS In Real Life – urging the public to help them save a child’s life, in real life.

#KIDS_IRL is highlighting that with so much of childhood today happening online, there are more ways than ever for children to hide how they really feel.

But behind the filters, feed and emojis, many of them are suffering. Some are even thinking about taking their own life.

The NSPCC is calling on people to show their support through a ‘Pledge to Protect’ and make a donation to fund vital services like Childline, which are there for children and teenagers when they have nowhere else to turn.

#KIDS_IRL is being brought to life by a series of hard-hitting films and adverts to raise awareness of the struggles many children and teenagers face across the country.

The stories of children and young people featured throughout the campaign are based on real life experiences of young people who have contacted the NSPCC.

Hollie suffered from chronic anxiety as a teenager which led her to try and take her own life. She says she was saved by Childline: “Following a suicide attempt I contacted Childline and spoke to a counsellor about how I was feeling. It was that conversation that stopped me from trying to take my life again when I got off the phone. 

“Over the next couple of years, I stopped talking, walking, eating and taking care of myself. There were also more stays in hospital.

“Yet despite not talking to anyone, I would often call Childline and chat to a counsellor when I was feeling low. The service was my lifeline during my darkest hours.” 

Since launching its online chat service, the demand for support and advice from Childline has continued to rise.

Esther Rantzen, Founder and President of Childline, said: “When we launched Childline in 1986, the majority of calls were from young people describing pain caused by someone else, this could include abuse, bullying or neglect.

“But over the last ten years we have seen a rise in the number of children describing their feelings of such intense unhappiness that they tell Childline they want to end their own lives. It is deeply disturbing that we have reached a point where, on average, 67 children a day are receiving help for suicidal thoughts and feelings.

“This new campaign highlights that many of these profoundly unhappy young people hide their feelings to those around them online, bottling up their suicidal thoughts which may become overwhelming.

“Worryingly we don’t have the resources to be there for every child who needs us, which is why it is so important the public get behind #KIDS_IRL and supports the NSPCC in their mission to be there for all the young people who reach out in their darkest hour.”

Coronavirus: Business as Usual … for now

CORONAVIRUS ACTION PLAN PUBLISHED

The Scottish Government, Welsh Government, Northern Ireland Executive, and the UK Government have today jointly published an Action Plan setting out a collective approach to the ongoing outbreak of coronavirus (COVID-19).

The Scottish Government has also published additional Scotland-specific guidance on its resilience and response arrangements, which provides further detail on how the response will be delivered and coordinated if there is a sustained epidemic.

First Minister Nicola Sturgeon said: “The Scottish Government and NHS Scotland are well-prepared to deal with a coronavirus outbreak. As well as the four nations’ Action Plan published today, we have also published tailored guidance for Scotland’s unique landscape.

“The Action Plan and the detail of our additional resilience arrangements for Scotland set out very clearly what we know so far about coronavirus, the different phases of managing an infection of this nature, what each phase means and the actions that have been or could potentially be taken at each stage.

“Much of this planning is based on reasonable worst case scenarios which will be refined as our understanding of the virus develops, but it is vital that we are well equipped to deal with all possibilities as this outbreak grows globally.

“We will continue to work closely with the UK Government, Welsh Government and the Northern Ireland Executive as part of a coordinated response to this virus.”

Health Secretary Jeane Freeman said: “Scotland is well equipped to deal with infections of this kind and health boards and social care services plan and prepare for a range of emergencies in order to minimise disruption as far as possible.

“We have a proven track record of dealing with challenging health issues and follow the highest safety standard possible to protect health and social care staff, patients and the public.

“The NHS has been specifically preparing for the possibility of further spread of coronavirus since it was first detected in Wuhan and today’s planning information outlines the processes and protections in place to ensure a coordinated response to this outbreak.”

Scottish Conservative shadow health spokesman Miles Briggs MSP said: “Understandably many people in Lothian are deeply concerned about whether the Scottish NHS will be able to cope with the extreme demands that the Coronavirus will place on it.

“Over the last six years we have seen a significant reduction in hospital beds with the loss of hundreds of acute hospital beds over a six year period.

“The worst case scenario outlined by SNP Ministers and the Chief Medical Officer suggests a high number of vulnerable patients will require hospitalisation. The SNP must therefore consider the worst case scenario and recommission NHS beds across the hospital estate urgently.

“It is the responsibility of all of us regardless of politics to make sure that guidance is followed to help protect individuals and families and to provide advice and assistance especially to the most vulnerable in our society.”

Prime Minister Boris Johnson told the press this morning: 

Good morning and thank you for coming along, and I am very glad to be joined this morning by the government’s Chief Medical Officer and Chief Scientific Advisor.

Today we have published the Coronavirus Action Plan setting out how all four parts of the UK will take all necessary and reasonable steps to tackle this outbreak.

The plan has four strands. Containing the virus, delaying its spread, researching its origins and cure, and finally mitigating the impact should the virus become more widespread. That is, contain, delay, research, mitigate.

And let me be absolutely clear that for the overwhelming majority of people who contract the virus, this will be a mild disease from which they will speedily and fully recover as we’ve already seen.

But I fully understand public concern, your concern, about the global spread of this virus. And it is highly likely that we will see a growing number of UK cases.

And that’s why keeping the country safe is the government’s overriding priority. And our plan means we’re committed to doing everything possible based on the advice of our world leading scientific experts to prepare for all eventualities.

Let’s not forget – we already have a fantastic NHS, fantastic testing systems and fantastic surveillance of the spread of disease.

We will make sure the NHS gets all the support it needs to continue their brilliant response to the virus so far.

The plan does not set out what the government will do, it sets out the steps we could take at the right time along the basis of the scientific advice.

Our country remains extremely well prepared, as it has been since the outbreak began in Wuhan several months ago.

Finally, crucially, we must not forget what we can all do to fight this virus, which is to wash our hands, you knew I was going to say this, but wash our hands with soap and water. And forgive me for repeating this but there will be people who will be tuning into this for the first time: wash your hands with soap and hot water for the length of time it takes to sing Happy Birthday twice.

It’s simple advice but it’s the single most important thing we can do, as I think our experts would attest.

But at this stage, and with the exception of all of the points I have just mentioned, I want to stress that for the vast majority of the people of this country, we should be going about our business as usual.

Coronavirus_action_plan_-_a_guide_to_what_you_can_expect_across_the_UK

The wait is over: Viccie Baths reopens

Try before you buy – 7 Days for £7

The long-awaited refurbishment of Edinburgh Leisure’s beloved 120-year-old Leith Victoria Swim Centre is over and its refurbished pool reopened to the public yesterday, with some eager customers in the pool at 6am!

While many locals will be familiar with the pool facilities, Edinburgh Leisure are giving locals and potential new members, the opportunity to try before they buy, with a ‘7 Days for £7 promotion, which will run Monday, 2 March until Sunday, 8 March 2020.   This pass is only available online and will be valid for 7 days starting from the day of registration. Terms and conditions apply. 

Located just off Great Junction Street in Leith, ‘Viccies’ has retained its 19th century charm but added a modern twist to provide everything needed for an active lifestyle, including a 25 yard Victorian pool, a large modern gym, two fitness studios and dedicated cycle studio.

Follow on Facebook @EdinburghLeisure

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Like on Twitter @Ed_Leisure

 

Coronavirus update

The First Minister attended a UK Government COBR meeting and chaired a meeting of the Scottish Government’s Resilience Committee (SGoRR) yesterday to discuss preparations for coronavirus (COVID-19) following confirmation of a first case in Scotland.

At the COBR meeting a four nations Action Plan to tackle the virus was agreed. This will be published in each area today with Scottish-specific information made available alongside the four nations plan.

The Cabinet Secretary for Health will make a statement to Parliament this  afternoon.

At SGoRR Ministers were updated on plans preparedness across all sectors in Scotland.

There have been a total of 815 negative test results in Scotland and one positive test result since the start of the outbreak in Wuhan in China.

According to Scottish and UK protocol all patients presenting with a history and symptoms which may be suggestive of coronavirus will be isolated in hospital or at home and appropriate infection prevention and control measures put in place until tests are confirmed.

First Minister Nicola Sturgeon said: “The patient who tested positive for COVID-19 is clinically well and is being treated in hospital. I would like to thank the NHS for its response and all of the health professionals involved in the patient’s care and treatment.

“Scotland has been planning for  coronavirus for some time. We expect a significant outbreak in the weeks to come but it is important to note that we are still in a containment phase of the virus. This is where we take all of the steps that we can to contain the infection and prevent it taking hold within the community.

“This phase is particularly important because there is currently no specific treatment or vaccine for coronavirus. Early detection measures will continue to be vital in helping to prevent the spread of the virus – everyone can play their part by following the latest health and travel advice, and following basic hygiene precautions, such as washing hands frequently, not touching their face and covering their nose and mouth with a tissue when coughing or sneezing.”

The UK Government will lay out its plans to contain the spread of coronavirus later today. These include possible school closures, event cancellations and bringing NHS staff out of retirement.

INTERNATIONAL EFFORT TO CONTAIN THE VIRUS

United Nations Humanitarian Chief Mark Lowcock has released US$15 million from the Central Emergency Response Fund (CERF) to help fund global efforts to contain the COVID-19 virus.

The announcement came as the World Health Organization (WHO) upgraded the global risk of the coronavirus outbreak to “very high” – its top level of risk assessment. The WHO has said there is still a chance of containing the virus if its chain of transmission is broken.

The sudden increases of cases in Italy, the Islamic Republic of Iran and the Republic of Korea are deeply concerning. There are now cases linked to Iran in Bahrain, Iraq, Kuwait and Oman, along with cases linked to Italy in Algeria, Austria, Croatia, Germany, Spain and Switzerland.

The UN funding has been released to the WHO and the United Nations Children’s Fund (UNICEF). It will fund essential activities including monitoring the spread of the virus, investigating cases, and the operation of national laboratories.

The WHO has called for US$675 million to fund the fight against coronavirus. There is a window of opportunity to contain the spread of the virus if countries take robust measures to detect cases early, isolate and care for patients, and trace contacts.

Emergency Relief Coordinator and Under-Secretary-General for Humanitarian Affairs, Mark Lowcock said yesterday: “We do not yet see evidence that the virus is spreading freely. As long as that’s the case, we still have a chance of containing it.

“But swift and robust action must be taken to detect cases early, isolate and care for patients, and trace contacts. We must act now to stop this virus from putting more lives at risk.

“This grant from the UN’s Emergency Fund will help countries with fragile health systems boost their detection and response operations. It has the potential to save the lives of millions of vulnerable people.”

This is a critical juncture in the outbreak. The focus is on containing COVID-19 by strengthening surveillance, conducting thorough outbreak investigations to identify contacts and applying appropriate measures to prevent further spread.

Tedros Adhanom Ghebreyesus, WHO Director-General, said: “The potential spread of the virus to countries with weaker health systems is one of our biggest concerns.

“These funds will help support these countries get ready for detecting and isolating cases, protecting their health workers, and treating patients with dignity and appropriate care. This will help us save lives and push back the virus.”

UNICEF is leading on preventative actions in communities across the affected countries with risk communication, providing hygiene and medical kits to schools and health clinics and monitoring the impact of the outbreak to support continuity of care, education and social services.

“At this pivotal moment, every effort must be made to push back against the outbreak,” said UNICEF Executive Director Henrietta Fore. “These crucial funds will support our global efforts to bolster weaker health systems and inform children, pregnant women and families about how to protect themselves.”

Since it was launched in 2006, CERF has provided more than $6 billion to over 100 countries and helped hundreds of millions of people.

 

New play equipment at West Pilton Park

A new play park and outdoor gym was opened in West Pilton last week.  Councillor Susan Rae cut the tape with Friends of West Pilton Park’s Sara Martin, ELGT’s Charlie Cummings and Scotland Manager of Fields in Trust, Colin Rennie.

Children from Pirniehall and Forthview Primary schools also braved the weather to check out the new facilities.

You can learn more about the development and watch an interview with Susan, Sara and Colin who talk about the importance of developing greenspaces and supporting local communities in urban areas here.

Founder Member of Friends of West Pilton Park, Parklife, Sara Martin said: “The local residents are delighted with the new junior play park and outdoor gym facilities.

“The old play parks were disjointed, very limited and definitely past their sell-by-date. The newly upgraded play park and outdoor gym are so much more interesting, with lots of exciting new equipment to try out and enjoy.

“Thank you Edinburgh & Lothian Greenspace Trust for delivering it.”

Coronavirus: First case in Scotland

A patient has been diagnosed with coronavirus (COVID-19) in Scotland. Following a positive test result for the virus, the patient has been admitted to hospital and is now receiving treatment in isolation.

There are now 36 cases across the UK.

The patient is a resident of the Tayside area and has recently travelled from northern Italy. Clinicians have already begun contact tracing, the process of gathering details of the places they have visited and the people they have been in contact with since returning to the UK.

It is important to note that this does not involve people the patient may have passed on the street or in a shop as the risk in these situations is very low. Close contact involves either face to face contact or spending more than 15 minutes within two metres of an infected person.

First Minister Nicola Sturgeon chaired a meeting of the Scottish Government Resilience Committee (SGoRR) last night and will be taking part in the UK Government’s resilience (COBR) meeting chaired by the Prime Minister this morning.

Further cases are expected in Scotland and SGoRR will meet again later today.

There have been a total of 698 negative test results in Scotland since the start of the outbreak in Wuhan, Hubei Province, China.

According to Scottish and UK protocol all patients presenting with a history and symptoms which may be suggestive of coronavirus will be isolated and appropriate infection prevention and control measures put in place.

First Minister Nicola Sturgeon said: “Our first thoughts must be with the patient diagnosed with coronavirus, I wish them a speedy recovery.

“Scotland is well-prepared for a significant outbreak of coronavirus but there is currently no treatment or vaccine. Early detection measures will continue to be vital in helping to prevent the spread of the virus.

“People have a vital role to play in helping us contain any outbreak by following the latest health and travel advice, and following basic hygiene precautions, such as washing hands frequently, not touching their face and covering their nose and mouth with a tissue when coughing or sneezing.” 

Scotland’s Chief Medical Officer Dr Catherine Calderwood said: “Firstly our thoughts are with the person who has been diagnosed, and with their family. I would like to thank all the health professionals who continue to be involved in their care and treatment.

“Scotland is well equipped to deal with infections of this kind. We have a proven track record of dealing with challenging health issues, and have been preparing for this possibility since the beginning of the outbreak in Wuhan.

“This is peak season for respiratory and flu-like illness. There will be people presenting with symptoms of acute respiratory illness but these cases are highly unlikely to be coronavirus (COVID-19).

“We practice and prepare our response to disease outbreaks and follow tried and tested procedures, following the highest safety standards possible for the protection of NHS staff, patients and the public.”

The positive sample has been sent to Public Health England’s Colindale laboratory in London for a confirmatory test. Scottish Laboratories will send all positive samples to Public Health England’s WHO designated Colindale laboratory for confirmatory testing.

Advice for travellers who have visited affected areas is available at NHS Inform.

More advice on travel can be found on Fit for Travel and the Foreign and Commonwealth Office.

NHS Inform Q&A

Up to date information on the situation in Scotland is being published by Scottish Government.

Woman who battled breast cancer takes on MoonWalk Scotland

Kirsten Griew, 41, from Portobello, Edinburgh is hoping to inspire people to join her at this year’s MoonWalk Scotland, organised by breast cancer charity, Walk the Walk.

Diagnosed with breast cancer in October 2016, Kirsten was treated at The Breast Cancer Institute at Edinburgh’s Western General Hospital which has benefitted from several Walk the Walk grants, thanks to money raised through The MoonWalk Scotland.

The grant from Walk the Walk funded the renovation of Ward 6, a new theatre and renovation of the Mammography Unit at the Breast Cancer unit at the Hospital. As well as this, the charity provided a grant for 8 Cold Cap systems, special machines which are helping many people undergoing chemotherapy to retain their hair.

Kirsten said: “The nurses at The Breast Cancer Institute were amazing throughout my treatment and it was there that I first heard about the Cold Caps.

“The idea of losing my hair during chemo was horrible, so it was great to hear that there was a way of potentially keeping all, or some of it, by using the Cold Cap.

“It was at the hospital that I saw a leaflet for The MoonWalk Scotland. I’d heard about the event before and always wanted to take part, but seeing the leaflet and personally benefitting from services that have been funded as a result of people doing The MoonWalk gave me the motivation I needed to sign up.

“The MoonWalk is brilliant fun – it has such a wonderful atmosphere and the feeling as you cross the finish line is indescribable! Fantastic causes benefit from the money raised and help people just like me. I can’t wait to take part again this year!”

Now in its 15th year, The MoonWalk Scotland, has to date raised nearly £22 million. This money is granted towards supporting people living with cancer in Scotland.

The charity is celebrating all things ‘music’ at this year’s MoonWalk on Saturday 6th June –  Walkers could be inspired by pop stars, rock legends, disco divas or musicals, as they decorate their bras to showcase at one of Edinburgh’s most iconic nights.

Setting from Holyrood Park, Edinburgh, Walkers can take on one of four challenges at The MoonWalk Scotland; 10K New Moon (open to people aged 10 and over), Half Moon (13.1 miles), Full Moon (26.2 miles) or Over the Moon (52.4 miles).

Don’t miss The MoonWalk Scotland, Saturday 6th June. Power Walk through the streets of Edinburgh at Midnight wearing a decorated bra, as you raise money and awareness for breast cancer charity, Walk the Walk.

Sign up now: www.walkthewalk.org 

Coronavirus: ‘Drive through’ testing introduced

Testing arrangements for coronavirus are being expanded across Scotland. 

Health boards are implementing a range of different methods for people in their areas to access testing. This ranges from testing in contained areas at local health centres, to community testing in the home, and ‘drive-through’ testing in some areas.

NHS Lothian is the latest health board to introduce ‘drive through’ testing, where patients with mild symptoms drive themselves to a contained area of the Western General hospital for testing, enabling them to avoid public transport or walking.

However the drive-in initiaitve is NOT for self-referalls.

Dr Tracey Gillies, medical director at NHS Lothian, stressed: “This service is for patients who have been assessed by the specialist team so it is an appointment-only service. It is not a drop-in clinic and it is important to stress that patients cannot be seen without an appointment.

“The drive-through facility and the community testing teams allow us to test patients without them coming into healthcare facilities. Patients will be referred on by their GP or NHS 24 if they are at risk of the virus and meet the clinical criteria.

“They will then be referred on to our teams, who will decide whether they need to be tested in their own homes or if they are well enough and can use their own transport to drive to the Western General Hospital.”

Other boards are running community testing, which allows people to be tested in their own home where appropriate. This involves staff from public health teams attending people’s homes in protective suits to provide testing, and offer advice to anyone displaying symptoms.

It follows the introduction of specialised coronavirus screening laboratories in Glasgow and Edinburgh.

Chief Medical Officer Dr Catherine Calderwood said: “Although all test results have come back negative so far, it is only a matter of time before there is a positive case in Scotland. 

“Our priority is to ensure testing facilities are available across Scotland, so we have asked health boards to explore options for people in their area depending on their needs. Methods of testing will be different depending on factors like population and geography.

“Scotland is well-prepared to deal with coronavirus. We need the public to help contain spread by keeping themselves informed of the latest health and travel advice, and taking basic hygiene precautions such as hand-washing, not touching their face and covering their nose and mouth with a tissue when coughing or sneezing and binning the tissue straight away.”

NHS England news release on drive through testing

The Scottish Government and NHS Scotland are well-prepared to deal with a potential coronavirus (COVID-19) outbreak and are working with the UK Government, Wales and Northern Ireland to publish a coordinated response.

In the coming days the four nations will jointly publish an updated action plan on the response of the health care system and the public to coronavirus. The document will outline the steps that will be taken to manage coronavirus if there is a sustained epidemic.

The Scottish Government is also participating in the UK wide launch of an updated public information campaign this week. It will feature posters and social media adverts to reinforce the importance of hand-washing, for 20 seconds or more with water and soap, to prevent the spread of the virus.

In addition, the Scottish Government has:

• stood up its Resilience Room (SGoRR) with both Ministers and officials meeting regularly to ensure the country is prepared
• participated and engaged in UK Government COBR activity
• developed emergency regulations to ensure coronavirus is a notifiable disease
• implemented a training programme and trained Scottish Ambulance Service staff to support the transport of patients that may be infectious
• established two laboratories in Scotland (Glasgow and Edinburgh) to manage an increase in testing
• delivered face masks to GP practices as a precautionary measure
• developed and issued guidance to clinicians as well as sector specific information to schools, universities, ports and airports to ensure members of the public are alerted to the latest clinical information
• established a dedicated helpline within NHS 24 to provide members of the public with the opportunity to receive information and discuss concerns
• developed an online resource via NHS Inform that can be accessed 24/7

Health Secretary Jeane Freeman said: “In Scotland we have a proven track record of dealing with challenging health issues and while all tests have so far come back negative, it is highly likely that we will see a positive case soon as coronavirus continues to spread around the world.

“As part of our efforts we are working with the UK Government, Wales and Northern Ireland to publish a coordinated response in the coming days.

“Staff across the Scottish Government, its agencies and key partners are stepping up work to deal with the potential consequences of a coronavirus outbreak. This includes prioritising key activity to keep Scotland running should the situation change, but also to ensure that all sectors can play their part in managing the response.

“Led by the Chief Medical Officer, Dr Catherine Calderwood, our clinicians and Health Protection Scotland are working closely with their counterparts across the UK to guarantee a consistent and joined up approach.

“We will continue to ensure we are as prepared as possible for the likelihood of coronavirus cases in Scotland and will continue to work with health boards, local authorities and other governments across the UK in ensuring that plans and preparations are in place to respond.”

The UK has 23 confirmed cases – none so far in Scotland – but there are warnings more will inevitably follow.

Local Personal Trainer launches post-natal podcast

After volunteering over 1,500 hours of his personal time to supporting post-natal women across the city and gaining his post-natal qualification, Edinburgh based personal trainer, Peter Lap has drawn on all of this insight and launched a podcast dedicated to supporting post-natal women across the city and beyond.

Moving away from the often-harmful discussions around ‘bouncing back to pre-baby weight’, the Healthy Post Natal Body Podcast explores everything related to post-natal health including common conditions and how to cure them, recommended exercises, nutrition, mindset and much more.

After gaining his post-natal qualification, Peter started training several clients who had recently given birth. Surprised by their shared experiences of post-natal care, or lack thereof, he decided to donate 10 hours per week of his own time to supporting post-natal women across the city.

Peter Lap, founder of Healthy Post Natal Body said: “Volunteering my own time over the last three years has given me a tremendous amount of insight into what was missing with regards to physical post-natal care and what women really needed from a post-natal program.

“Too many women I spoke with were unaware that their ‘mum tum’ was in fact Diastasis Recti, a common and most importantly curable medical condition.”

Peter Lap, said: “Post-natal fitness is not a cosmetic or aesthetic issue, it’s a women’s health issue and it should be accessible for everyone. That’s what this podcast is all about.”

Peter Lap is also founder of Healthy Post Natal Body is an affordable monthly online subscription (£8 pcm) service that focuses on the physical health and wellbeing of women who have given birth.

The online forum is packed with useful advice and weekly routines, focuses on the physical health and wellbeing of women who have given birth.

For more information visit https://www.healthypostnatalbody.com/